MANAJEMEN ASUHAN KEBIDANAN PADA NY L G1P00000 DENGAN SESAK NAFAS DI PMB SUPRIHATIN, SAMBIT, PONOROGO

2020 ◽  
Vol 4 (2) ◽  
pp. 75
Author(s):  
Rani Diah Ningsih ◽  
Ririn Ratnasari ◽  
Nur Hidayati
Keyword(s):  

Pelayanan Antenatal Care sangat penting dilakukan sehingga dapat mempertahankan mutu pelayanan yang berkualitas sesuai standar pelayanan minimal kebidanan, sehingga kegawatdaruratan secara obstetri dan neonatologi dapat tertangani dengan baik, serta ibu mendapatkan pelayanan secara optimal dan komperhensif guna menurunkan AKI dan AKB. Dalam kehamilan sering ditemukan berbagai masalah kesehatan, salah satunya adalah sesak nafas dalam kehamilan. Sistem pernafasan yang lancar menjadi faktor penting bagi tumbuh kembang janin di dalam kandungan, karena ketika didalam kandungan janin mendapatkan suplai oksigen dari ibu. Maka dari itu penulis bertujuan untuk memberikan asuhan kebidanan kepada ibu hamil khususnya pada trimester III. Penelitian yang dilakukan menggunakan metode kualitatif yang berjenis deskriptif dengan pendekatan studi kasus. Dalam melakukan penelitian, pendokumentasian dilakukan dalam bentuk SOAPIE yang terdiri dari pengkajian data, merumuskan diagnosa, merencanakan asuhan kebidanan, dan evaluasi. Pemberian asuhan kebidanan diberikan kepada Ny “L” G1P00000 usia kehamilan 36 minggu, dilakukan sebanyak 2x pada kehamilan trimester III pada tanggal 14 dan 21 Maret 2020. Ny “L” termasuk ke dalam kelompok ibu hamil risiko rendah dengan skor 2 yang merupakan skor awal ibu hamil. Pada kunjungan pertama ibu memiliki masalah sesak nafas saat tidur yang telah ditangani dengan baik, sedangkan pada kunjungan berikutnya ibu tidak memiliki keluhan serta masalah pada kunjungan sebelumnya sudah berkurang. Selama pendampingan keadaan ibu terpantau baik, bayi yang di kandung juga mengalami tumbuh kembang sesuai masa kehamilan..

2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Tabeta Seeiso ◽  
Mamutle M. Todd-Maja

Antenatal care (ANC) literacy is particularly important for pregnant women who need to make appropriate decisions for care during their pregnancy and childbirth. The link between inadequate health literacy on the educational components of ANC and maternal mortality in sub-Saharan Africa (SSA) is undisputable. Yet, little is known about the ANC literacy of pregnant women in SSA, with most studies inadequately assessing the four critical components of ANC literacy recommended by the World Health Organization, namely danger signs in pregnancy; true signs of labour; nutrition; and preparedness for childbirth. Lesotho, a country with one of the highest maternal mortality rates in SSA, is also underexplored in this research area. This cross-sectional study explored the levels of ANC literacy and the associated factors in 451 purposively sampled women in two districts in Lesotho using a structured questionnaire, making recourse to statistical principles. Overall, 16.4 per cent of the participants had grossly inadequate ANC literacy, while 79.8 per cent had marginal levels of such knowledge. The geographic location and level of education were the most significant predictors of ANC literacy, with the latter variable further subjected to post hoc margins test with the Bonferroni correction. The participants had the lowest scores on knowledge of danger signs in pregnancy and true signs of labour. Adequate ANC literacy is critical to reducing maternal mortality in Lesotho. Improving access to ANC education, particularly in rural areas, is recommended. This study also provides important recommendations critical to informing the national midwifery curriculum.


2020 ◽  
Vol 38 (2) ◽  
pp. 1-17
Author(s):  
Seoyoung Baek ◽  
Gwang Suk Kim ◽  
Sue Kim ◽  
Seunyoung Joe

2020 ◽  
Vol 12 (1) ◽  
pp. 68-73
Author(s):  
Rahmawati Rahmawati ◽  
Syarif Syafruddin ◽  
Nontji Wena

The component of antenatal care received by pregnant women is classified as incomplete because the implementation of standard pregnancy services is still using conventional methods. There are obstacles faced by midwives, such as the limited time in a recording, which has an impact on the declining quality of antenatal care standards. This research aims to compare the effectiveness of the use of KIA books and MONSCA applications in midwives in the application of the standard Antenatal service 14 T. This research was conducted in Puskesmas Tanete and Puskesmas Bontobangun Bulukumba District. The method used in the study is experimental quasi (pre-test post-test nonequivalent control design). Using a sample of midwives in this study, as many as 36 people were divided into two groups (18 intervention groups and 18 control groups). The sampling technique in this study used purposive sampling. Data were analyzed using the Mann-Whitney Test. The results showed that there was a difference in the effectiveness of using KIA books with MONSCA applications, MOSCA's applications were easier to use, faster, safer, and more accurate than KIA books. It can be concluded that the MONSCA application is more effective than KIA books. Key words: Effectiveness, Android-based Smart Continuity of Care application, KIA book, Antenatal service 14 T


Author(s):  
Rubiyati Rubiyati

ABSTRACT Antenatal Care is the care given to pregnant woman to monitor, support maternal health and maternal detect, whether normal or troubled pregnant women. Aki in Indonesia amounted to 359 in 100.000 live births. The purpose of the study was to determine the relationship between age and education in the clinic Budi Mulia Medika 2014. This study used a survey method whit cross sectional analytic. This is the overall study population of women with gestational age ≥36 weeks who come to visit the clinic Budi Mulia Medika Palembang on February 10 to 18. The study sample was taken in non-random with the technique of “accidental smapling “ with respondents who happens to be there or variable. The obtained using univariate and bivariate analysis using Chi-Square test statistic. The results of the univariate analysis showed that 83,3% of respondents did according to the standard prenatal care, high risk age 40,0 %, 60,0% lower risk of age, higher education 70,0%, 30,0% low education. Bivariate analysis showed that there was no significant relationship betwee age and pregnancy tests wit p value= 0,622, and significant relationship between education and prenatal care with p value= 0,019. From the results of this study are expected to need to increase outreach activities to the community about the importance of examination of pregnancy according to gestational age in an effort to reduse maternal mortality.   ABSTRAK Antenatal Care merupakan pelayanan  yang di berikan pada ibu hamil untuk memonitor, mendukung kesehatan ibu dan mendeteksi ibu, apakah ibu hamil normal atau bermasalah. Di Indonesia AKI berjumlah 359 per 100.000 kelahiran hidup. Tujuan penelitian adalah untuk mengetahui hubungan antara usia dan pendidikan dengan pemeriksaan kehamilan di klinik budi mulia medika tahun 2014. Penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Populasi penelitian ini adalahseluruh ibu dengan usia kehamilan ≥ 36 minggu yang dating berkunjung ke Klinik Budi Mulia Medika pada tanggal 10-18 Februari. Sampel penelitian ini di ambil secara non random dengan tekhnik ‘’ Accidental Sampling’’ dengan responden yang kebetulan ada atau tersedia. Data yang di peroleh menggunakan analisis univariat dan bivariat menggunakan uji statistik Chi-Square. Hasil analisis univariat ini menunjukan bahwa 83,8% responden melakukan pemeriksaan kehamilan sesuai standar, 16,7% tidak melakukan pemeriksaan kehamilan sesuai standar, usia resiko tinggi 40,0%, usia resiko rendah 60,0%, pendidikan tinggi 70,0 %, pendidikan rendah 30,0 %. Analisis bivariat menunjukan bahwa tidak ada hubungan bermakna antara usia dengan pemeriksaan kehamilan dengan p value =0,622, ada hubunngan bermakana antara pendidikan dengan pemeriksaan kehamilan dengan p value = 0,019. Dari hasil penelitian ini di harapkan perlu meningkatkan kegiatan penyuluhan kepada masyarakat tentang pentingnya dilakukan pemeriksaan kehamilan sesuai dengan umur kehamilan sebagai upaya menurunkan angka kematian ibu.    


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